Cycle 1
Health 2025-08-06 · Fire 2025-08-06
4 health deficiencies
Top issue: Pharmacy Service (2 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Holtsville, NY
Island Nursing And Rehab Center
4-star overall rating with 4-star inspections with 4 recent health deficiencies
5537 Expressway Drive North, Holtsville, NY
(631) 758-3336
Overall
4 / 5
CMS overall stars
Health inspections
4 / 5
Survey and complaint cycles
Staffing
3 / 5
RN + nurse staffing
Quality measures
4 / 5
Resident outcomes and process measures
Quick facts
Facility snapshot
Beds
120
Certified beds
Average residents
105
Average occupied residents
Ownership
Non-Profit
Publicly displayed owner type
Chain
No chain reported
Operator or chain grouping
Approved since
2001-11-30
CMS approved date
Coverage
Medicare + Medicaid
Participation flags
Changed ownership
No
Within the last 12 months
Family council
Yes
Resident and family council reported
Sprinklers
Yes
Automatic sprinklers in all required areas
Staffing
Hours and turnover
RN hours / resident day
0.78
Registered nurse staffing · state 0.70 · national 0.68
LPN hours / resident day
0.65
Licensed practical nurse staffing · state 0.78 · national 0.87
Aide hours / resident day
2.35
Nurse aide staffing · state 2.20 · national 2.35
Total nurse hours
3.78
All reported nurse hours · state 3.65 · national 3.89
Licensed hours
1.43
RN + LPN hours · state 1.47 · national 1.54
Weekend hours
3.17
Weekend nurse staffing · state 3.16 · national 3.43
Weekend RN hours
0.56
Weekend registered nurse coverage · state 0.47 · national 0.47
Physical therapist
0.09
Reported PT staffing · state 0.11 · national 0.07
Adjusted RN hours
0.71
CMS adjusted RN staffing hours
Adjusted total hours
3.44
CMS adjusted total nurse staffing hours
Case-mix index
1.50
Higher values indicate more complex resident acuity
RN turnover
44%
Annual RN turnover · state 41% · national 45%
Total nurse turnover
49%
Annual nurse turnover · state 41% · national 46%
SNF VBP
Value-based purchasing
Program rank
13,127
Lower is better among SNFs in the FY 2026 VBP program.
Performance score
8.11
Composite VBP score used to determine payment impact.
Payment multiplier
0.9807
Above 1.000 increases Medicare payment; below 1.000 reduces it.
Program components
How the VBP score is built
Readmission
3.25
Baseline 22.81% · Performance 20.64% · Measure score 3.25 · Achievement 1.70 · Improvement 3.25
Healthcare-associated infections
0
Baseline 7.91% · Performance 9.04% · Measure score 0 · Achievement 0 · Improvement 0
Total nurse turnover
0
Performance 61.68% · Measure score 0 · Achievement 0 · This facility did not have sufficient data to calculate a baseline period measure result.
Adjusted total nurse staffing
0
Baseline 2.96 hours · Performance 2.79 hours · Measure score 0 · Achievement 0 · Improvement 0
SNF QRP
Medicare quality reporting measures
| Measure | Facility | National | Note |
|---|---|---|---|
| Potentially preventable 30-day readmission | 12.79% |
10.72%
2.1 pts worse
|
No Different than the National Rate · Eligible stays 341 · Observed rate 14.08% · Lower 95% interval 10.15% |
| Discharge to community | 58.57% |
50.57%
8 pts better
|
Better than the National Rate · Eligible stays 370 · Observed rate 51.35% · Lower 95% interval 52.88% |
| Medicare spending per beneficiary | 1.08 |
1.02
0.1 pts worse
|
|
| Drug regimen review with follow-up | 97.52% |
95.27%
2.2 pts better
|
Numerator 236 · Denominator 242 |
| Falls with major injury | 0% |
0.77%
0.8 pts better
|
Numerator 0 · Denominator 242 |
| Discharge self-care score | 62.03% |
53.69%
8.3 pts better
|
Numerator 98 · Denominator 158 |
| Discharge mobility score | 70.25% |
50.94%
19.3 pts better
|
Numerator 111 · Denominator 158 |
| Pressure ulcers or injuries, new or worsened | 2.89% |
2.29%
0.6 pts worse
|
Numerator 7 · Denominator 242 · Adjusted rate 2.15% |
| Healthcare-associated infections requiring hospitalization | 9.04% |
7.12%
1.9 pts worse
|
No Different than the National Rate · Eligible stays 250 · Observed rate 10.4% · Lower 95% interval 5.77% |
| Staff COVID-19 vaccination coverage | 0.48% |
8.2%
7.7 pts worse
|
Numerator 1 · Denominator 209 |
| Staff flu vaccination coverage | 95.94% |
42%
53.9 pts better
|
Numerator 189 · Denominator 197 |
| Discharge function score | 63.29% |
56.45%
6.8 pts better
|
Numerator 100 · Denominator 158 |
| Transfer of health information to provider | 89.61% |
95.95%
6.3 pts worse
|
Numerator 69 · Denominator 77 |
| Transfer of health information to patient | 98.4% |
96.28%
2.1 pts better
|
Numerator 123 · Denominator 125 |
| Resident COVID-19 vaccinations up to date | 20.9% |
25.2%
4.3 pts worse
|
Numerator 28 · Denominator 134 |
Quality measures
Resident outcomes and process scores
| Measure | Facility | State | National | Note |
|---|---|---|---|---|
| Number of hospitalizations per 1000 long-stay resident days | 2.3 |
1.7
0.6 pts worse
|
1.9
0.4 pts worse
|
Long Stay · 20240701-20250630 · Adjusted 2.3 · Observed 2.7 · Expected 2.3 · Used in QM five-star |
| Number of outpatient emergency department visits per 1000 long-stay resident days | 1.3 |
1.3
About the same
|
1.8
0.5 pts better
|
Long Stay · 20240701-20250630 · Adjusted 1.3 · Observed 1.3 · Expected 1.7 · Used in QM five-star |
| Percentage of long-stay residents assessed and appropriately given the pneumococcal vaccine | 94.1% |
91.2%
2.9 pts better
|
93.4%
0.7 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 79.2% · Q2 97.4% · Q3 98.8% · Q4 100.0% · 4Q avg 94.1% |
| Percentage of long-stay residents assessed and appropriately given the seasonal influenza vaccine | 97.6% |
95.3%
2.3 pts better
|
95.5%
2.1 pts better
|
Long Stay · 2024Q3-2025Q2 · 4Q avg 97.6% |
| Percentage of long-stay residents experiencing one or more falls with major injury | 7.4% |
3.0%
4.4 pts worse
|
3.3%
4.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.2% · Q2 7.7% · Q3 9.4% · Q4 7.1% · 4Q avg 7.4% · Used in QM five-star |
| Percentage of long-stay residents who have depressive symptoms | 18.3% |
18.5%
0.2 pts better
|
11.4%
6.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.9% · Q2 22.1% · Q3 21.8% · Q4 11.8% · 4Q avg 18.3% |
| Percentage of long-stay residents who lose too much weight | 6.1% |
6.1%
About the same
|
5.4%
0.7 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 5.4% · Q2 8.2% · Q3 5.3% · Q4 5.4% · 4Q avg 6.1% |
| Percentage of long-stay residents who received an antianxiety or hypnotic medication | 29.8% |
13.5%
16.3 pts worse
|
19.6%
10.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 26.0% · Q2 30.3% · Q3 30.9% · Q4 32.1% · 4Q avg 29.8% |
| Percentage of long-stay residents who received an antipsychotic medication | 8.3% |
14.8%
6.5 pts better
|
16.7%
8.4 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 7.9% · Q2 4.5% · Q3 10.6% · Q4 10.3% · 4Q avg 8.3% · Used in QM five-star |
| Percentage of long-stay residents who were physically restrained | 0.0% |
0.2%
0.2 pts better
|
0.1%
0.1 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 0.0% · Q2 0.0% · Q3 0.0% · Q4 0.0% · 4Q avg 0.0% |
| Percentage of long-stay residents whose ability to walk independently worsened | 11.0% |
15.1%
4.1 pts better
|
16.3%
5.3 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.3% · Q2 10.2% · Q3 11.9% · Q4 7.3% · 4Q avg 11.0% · Used in QM five-star |
| Percentage of long-stay residents whose need for help with daily activities has increased | 14.7% |
15.5%
0.8 pts better
|
14.9%
0.2 pts better
|
Long Stay · 2024Q4-2025Q3 · Q1 14.8% · Q2 13.1% · Q3 20.6% · Q4 10.3% · 4Q avg 14.7% · Used in QM five-star |
| Percentage of long-stay residents with a catheter inserted and left in their bladder | 1.2% |
0.6%
0.6 pts worse
|
1.0%
0.2 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 1.1% · Q2 2.0% · Q3 0.9% · Q4 0.9% · 4Q avg 1.2% · Used in QM five-star |
| Percentage of long-stay residents with a urinary tract infection | 2.6% |
1.4%
1.2 pts worse
|
1.7%
0.9 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 2.7% · Q2 0.0% · Q3 5.0% · Q4 2.6% · 4Q avg 2.6% · Used in QM five-star |
| Percentage of long-stay residents with new or worsened bowel or bladder incontinence | 19.9% |
20.8%
0.9 pts better
|
19.8%
0.1 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 17.6% · Q2 19.0% · Q3 21.8% · Q4 20.9% · 4Q avg 19.9% |
| Percentage of long-stay residents with pressure ulcers | 8.4% |
6.9%
1.5 pts worse
|
5.1%
3.3 pts worse
|
Long Stay · 2024Q4-2025Q3 · Q1 13.0% · Q2 5.9% · Q3 8.6% · Q4 6.5% · 4Q avg 8.4% · Used in QM five-star |
| Percentage of short-stay residents assessed and appropriately given the pneumococcal vaccine | 88.9% |
76.7%
12.2 pts better
|
81.7%
7.2 pts better
|
Short Stay · 2024Q4-2025Q3 · Q1 79.5% · Q2 88.4% · Q3 93.2% · Q4 94.7% · 4Q avg 88.9% |
| Percentage of short-stay residents who had an outpatient emergency department visit | 11.4% |
9.7%
1.7 pts worse
|
12.0%
0.6 pts better
|
Short Stay · 20240701-20250630 · Adjusted 11.4% · Observed 11.0% · Expected 10.8% · Used in QM five-star |
| Percentage of short-stay residents who newly received an antipsychotic medication | 1.6% |
1.2%
0.4 pts worse
|
1.6%
About the same
|
Short Stay · 2024Q4-2025Q3 · Q1 2.1% · Q2 0.8% · Q3 1.8% · Q4 2.0% · 4Q avg 1.6% · Used in QM five-star |
| Percentage of short-stay residents who were assessed and appropriately given the seasonal influenza vaccine | 91.9% |
78.8%
13.1 pts better
|
79.7%
12.2 pts better
|
Short Stay · 2024Q3-2025Q2 · 4Q avg 91.9% |
| Percentage of short-stay residents who were rehospitalized after a nursing home admission | 22.6% |
20.6%
2 pts worse
|
23.9%
1.3 pts better
|
Short Stay · 20240701-20250630 · Adjusted 22.6% · Observed 22.5% · Expected 23.7% · Used in QM five-star |
Survey summary
Recent inspection cycles
Cycle 2
Health 2024-06-11 · Fire 2024-06-11
6 health deficiencies
Top issue: Resident Assessment and Care Planning (3 deficiencies)
0 fire-safety deficiencies
No concentrated fire-safety issue counts in this cycle.
Cycle 3
Health 2022-09-13 · Fire 2022-09-13
3 health deficiencies
Top issue: Infection Control (1 deficiency)
3 fire-safety deficiencies
Top issue: Egress (1 deficiency)
Fire safety
Fire-safety citations
D · Potential for more than minimal harm
2022-09-13
K211 · Egress Deficiencies
Fire Safety
Keep aisles, corridors, and exits free of obstruction in case of emergency.
Corrected 2022-11-02
C · Minimal harm
2022-09-13
E23 · Emergency Preparedness Deficiencies
Fire Safety
Establish policies and procedures for medical documentation.
Corrected 2022-11-02
C · Minimal harm
2022-09-13
K712 · Miscellaneous Deficiencies
Fire Safety
Have simulated fire drills held at unexpected times.
Corrected 2022-11-02
Inspection history
Recent health citations
D · Potential for more than minimal harm
2025-08-06
F554 · Resident Rights Deficiencies
Health
Allow residents to self-administer drugs if determined clinically appropriate.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-06
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-06
F755 · Pharmacy Service Deficiencies
Health
Provide pharmaceutical services to meet the needs of each resident and employ or obtain the services of a licensed pharmacist.
Corrected 2025-10-01
D · Potential for more than minimal harm
2025-08-06
F761 · Pharmacy Service Deficiencies
Health
Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.
Corrected 2025-10-01
E · Potential for more than minimal harm
2024-06-11
F725 · Nursing and Physician Services Deficiencies
Health
Provide enough nursing staff every day to meet the needs of every resident; and have a licensed nurse in charge on each shift.
Corrected 2024-08-08
D · Potential for more than minimal harm
2024-06-11
F641 · Resident Assessment and Care Planning Deficiencies
Health
Ensure each resident receives an accurate assessment.
Corrected 2024-08-08
D · Potential for more than minimal harm
2024-06-11
F656 · Resident Assessment and Care Planning Deficiencies
Health
Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured.
Corrected 2024-08-08
D · Potential for more than minimal harm
2024-06-11
F657 · Resident Assessment and Care Planning Deficiencies
Health
Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals.
Corrected 2024-08-08
D · Potential for more than minimal harm
2024-06-11
F710 · Nursing and Physician Services Deficiencies
Health
Obtain a doctor's order to admit a resident and ensure the resident is under a doctor's care.
Corrected 2024-08-08
D · Potential for more than minimal harm
2024-06-11
F791 · Quality of Life and Care Deficiencies
Health
Provide or obtain dental services for each resident.
Corrected 2024-08-08
E · Potential for more than minimal harm
2022-09-13
F880 · Infection Control Deficiencies
Health
Provide and implement an infection prevention and control program.
Corrected 2022-10-27
D · Potential for more than minimal harm
2022-09-13
F695 · Quality of Life and Care Deficiencies
Health
Provide safe and appropriate respiratory care for a resident when needed.
Corrected 2022-10-20
D · Potential for more than minimal harm
2022-09-13
F726 · Nursing and Physician Services Deficiencies
Health
Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.
Corrected 2022-10-20
Penalties and ownership
What sits behind the stars
Ownership
Gurwin Healthcare System, Inc.
5% Or Greater Direct Ownership Interest · Organization
Almer, Stuart
Corporate Director · Individual
Angowitz, Gerald
Corporate Director · Individual
Brodsky, Bert
Corporate Director · Individual
Butchma, Olaf
Operational/Managerial Control · Individual
Finkel, Noah
Corporate Director · Individual
Launer, Lee
Corporate Director · Individual
Marchand, Audrey
Operational/Managerial Control · Individual
Viteritti, Louis
Corporate Officer · Individual
Wolf, Cary
Corporate Director · Individual
Nearby options
Other facilities in reach
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Medford Multicare Center For Living
Medford, NY
1-star overall rating with 1-star inspections with $134,713 in total fines with 7 recent health deficiencies with 1 fire-safety deficiencies in the latest cycle
#2
Swan Lake Nursing & Rehabilitation
Patchogue, NY
2-star overall rating with 1-star inspections with 5 recent health deficiencies
#3
Brookhaven Health Care Facility L L C
East Patchogue, NY
4-star overall rating with 3-star inspections with $7,901 in total fines with 5 recent health deficiencies
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